Impact of a 50-Year Premedical Postbaccalaureate Program in Graduating Physicians for Practice in Primary Care and Underserved Areas
Impact of a 50-Year Premedical Postbaccalaureate Program in Graduating Physicians for Practice in Primary Care and Underserved Areas
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DOI：
10.1097/acm.0000000000003846
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发表时间：
2021-03-01
影响因子：
7.4
通讯作者：
Baker, Richard S.
中科院分区：
文献类型：
--
作者：
Smitherman, Herbert C.;Aranha, Anil N. F.;Baker, Richard S.
目的评价韦恩州立大学医学院的（WSUSOM的）50年的医学预科后学士学位课程（PBP）-第一个和最古老的在美国-在实现其目标，作为衡量医学院入学和毕业，初级保健专业化，和当前的实践location.MethodA回顾性研究的一个完整的比较数据集9，856 WSUSOM MD毕业生（1979-2017）在2018年7月至8月进行。其中包括1969年至2012年期间被PBP录取的539名毕业生。收集的数据包括PBP学生的社会人口统计学，研究生专业，居住地点在入院时的PBP，目前的医学实践的位置。卫生专业人员短缺地区（HPSAs）和医疗服务不足的地区/人口（MUA/Ps）被确定为居住在入场PBP和目前的医药实践location.ResultsOf的539 PBP学生，463/539（85.9%）成功地完成了PBP和录取到WSUSOM。其中，401/463例（86.6%）获得MD，其中233/401例（58.1%）为女性，277/401例（69.1%）为非洲裔美国人。每PBP学生的平均投资约为52，000美元，MD毕业生约为77，000美元。大多数PBP医学博士毕业生目前的实践信息居住在HPSA或MUA/Ps入院PBP（204/283，72.1%），目前正在HPSA或MUA/Ps（232/283，82.0%），和139/283（49.1%）成为初级保健医生（PCP）。WSUSOM PBP和非PBP MD毕业生的比较显示，PBP医生成为PCP，并在HPSA或MUA/Ps中执业的比例高于非PBP医生（P < .001）。结论PBP成功地使很大一部分来自社会经济弱势和不同背景的医生毕业，他们作为PCP执业，并在HPSA和MUA/Ps执业，从而实现PBP的目标，即帮助解决美国所有人的广泛医疗保健需求。
PurposeTo evaluate the effectiveness of Wayne State University School of Medicine's (WSUSOM's) 50-year premedical postbaccalaureate program (PBP)-the first and oldest in the United States-in achieving its goals, as measured by medical school matriculation and graduation, primary care specialization, and current practice location.MethodA retrospective study of a complete comparative dataset of 9,856 WSUSOM MD graduates (1979-2017) was performed in July-August 2018. This included 539 graduates who were admitted to the PBP between 1969 and 2012. Data collected included PBP students' sociodemographics, postgraduate specialization, residence location at time of admission to the PBP, and current medicine practice location. Health professional shortage areas (HPSAs) and medically underserved areas/populations (MUA/Ps) were determined for residence at admission to the PBP and current medicine practice location.ResultsOf the 539 PBP students, 463/539 (85.9%) successfully completed the PBP and matriculated to WSUSOM. Of those, 401/463 (86.6%) obtained an MD, and of those, 233/401 (58.1%) were female and 277/401 (69.1%) were African American. Average investment per PBP student was approximately $52,000 and for an MD graduate was approximately $77,000. The majority of PBP MD graduates with current practice information resided in HPSAs or MUA/Ps at admission to PBP (204/283, 72.1%) and were currently practicing in HPSAs or MUA/Ps (232/283, 82.0%), and 139/283 (49.1%) became primary care physicians (PCPs). Comparison of WSUSOM PBP and non-PBP MD graduates showed PBP physicians become PCPs and practice in HPSAs or MUA/Ps at higher rates than non-PBP physicians (P < .001).ConclusionsThe PBP was successful in graduating a large proportion of physicians from socioeconomically disadvantaged and diverse backgrounds, who practice as PCPs and who practice in HPSAs and MUA/Ps, thereby accomplishing the PBP's goals of helping to address the broad health care needs of all people in the United States.